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Transdiscal approach for hypogastric plexus block.
Serdar Erdine1, Aysen Yucel, Mehmet Celik
1Department of Algology, Medical Faculty of Istanbul, Istanbul University, Capa Klinikleri 34390, Istanbul, Turkey. algotur@superonline.com
Regional Anesthesia and Pain Medicine
|August 29, 2003
Summary
This study shows that a posterior transdiscal hypogastric plexus block is a safe and effective method for managing cancer-related pelvic pain. The procedure provided significant pain relief and reduced analgesic needs in most patients.
Area of Science:
- Interventional Pain Management
- Neurology
- Oncology
Background:
- Pelvic pain in cancer patients often requires advanced pain management strategies.
- The hypogastric plexus is a key target for modulating pelvic pain signals.
Purpose of the Study:
- To evaluate the safety and efficacy of a posterior transdiscal approach for hypogastric plexus block in cancer patients with pelvic pain.
Main Methods:
- Twenty patients underwent a posterior transdiscal hypogastric plexus block using phenol.
- The L(5)-S(1) interdiscal space was targeted under fluoroscopic guidance.
- Pain relief (VAS), analgesic use, and patient satisfaction were assessed pre-procedure and for 3 months post-procedure.
Main Results:
- The procedure was technically successful without complications in all patients.
- Twelve patients (60%) experienced statistically significant pain relief.
- Fifteen patients (75%) reported satisfaction, with decreased analgesic requirements.
Conclusions:
- The posterior transdiscal approach to the hypogastric plexus is a safe and effective option for pelvic pain in cancer patients.
- Further research, including randomized controlled trials comparing different approaches, is warranted.